INTRODUCTION The treatment of children affected by anorectal malformations (ARM) is characterized by some unsolved problems. The three-stage surgical correction has been known to be most effective in preventing complications, but recently new approaches have been proposed. We describe our experience with the newer approaches. METHODS Twenty three male newborns, affected by ARM and recto-urina...

Introduction: Vesico-uterine fistula (VUF) is a recognised but rare complication following lower segment caesarean section with an incidence of less than 4% of all urogenital fistulae. Patients commonly present with urinary incontinence, cyclical haematuria, amenorrhoea, infertility and spontaneous first trimester abortions. Presentation can be immediate or delayed. Case description: A 34-year-...

A 62-year-old male with past medical history of benign prostatic hyperplasia presented to the emergency department with complaints of decreased urinary flow, inability to fully empty his bladder, and gross hematuria. Physical examination was unremarkable. Urinalysis revealed large amount of blood and more than 700 white blood cells suggesting a urinary tract infection. Urine culture grew group ...

DESCRIPTION A 93-year-old man presented with gross haematuria for 1 month. The urine analysis showed numerous RBCs in microscopy. The renal function was normal and urine cytology revealed nothing. Tracing the patient’s history it was found that he had received radical prostatectomy 20 years ago, but he denied any other trauma or surgery history. An indwelling catheter followed by normal saline ...

Introduction: Enterocutaneous fistula (ECF) represents a challenging clinical condition in surgery. Two cases of ECF are presented that were successfully treated with MatriStem, a porcine urinary bladder matrix xenograft application. Case Series: The cases were treated with a procedure involving curettage of the tract, followed by injection of a MatriStem slurry, and insertion of a rolled Matri...

Introduction. Recto-urinary fistulas resulting from trauma or surgery are a serious and debilitating complication. They represent a challenge not only because of the difficulty on choosing the best technique to solve them but also because of the risk of recurrence. Spontaneous cure is rare. Materials and Methods. We describe the case of a 61-years-old man that on the 9th postoperative day of a ...

Our case report demonstrates that the use of tackers or other devices in a improper way should be avoid and it can be correlated with late complication of laparoscopic colposacropexy.

Urological complications in Crohn's disease are relatively common conditions. However, a few cases with sigmoido-vesical fistula as a complication of the disease have been reported. We experienced a case of a 16-year-old boy with pneumaturia due to sigmoido-vesical fistula as a complication of Crohn's disease.

The vesicovaginal fistula from prolonged obstructed labor is a condition that is no longer seen in the affluent, industrialized world, yet it continues to exist in epidemic proportions in sub-Saharan Africa, where several million women are estimated to suffer from this condition. The unremitting urinary incontinence that is produced by a fistula causes these women to become social outcasts. The...

Once previously attempted conservative maneuvers have failed, iatrogenic persistent urinary fistulas usually require difficult repeated operations. We describe 3 patients in whom cyanoacrylic glue was used to repair endoscopically persistent urinary fistulas occurring after major pelvic surgery. At a mean follow-up of 21 months, all patients were free of urinary leakage and had no evidence of r...